Jennifer Lyn Flight-Hawk, BCBA

Individual provider Active NPI Behavior Analyst · Atlantic Beach, FL

NPI 1578038501 · NPPES record last updated Oct 5, 2018

Key facts

NPI
1578038501
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-18-32094 (FL)
Practice address
1885 Sherry Dr N
Atlantic Beach, FL 32233-4516
Phone
(980) 229-6747
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-32094 FL Yes

Addresses

Primary practice location

1885 Sherry Dr N
Atlantic Beach, FL 32233-4516

Mailing address

1885 Sherry Dr N
Atlantic Beach, FL 32233-4516
Phone (980) 229-6747

Other providers in Atlantic Beach, FL

All providers in Atlantic Beach, FL · Behavior Analyst in Florida

Sources for this page

Verify at the official NPI Registry.